PPO providers are available at the following Web Site For Information Packet on NHAI PPO, or to Find local providers & other general questions. www.nhai.netPPO Provider Relations, PPO Negotiations, and all PPO Contracting and pricing. Problems with providers.

Hotline: (888) 679-2400, Ext.103Fax: (914) 739-8341

OUT OF STATE PPO PROVIDERS

RESPONSIBILITIES

CONTACT NUMBERS

NHAI has a number of providers in Florida, Connecticut and other states. Please check the provider listing at our web site. OOA or traveling members call Multiplan or TRPN PPO for Physicians or facility referrals (800) 557-6794.

For emergencies, go to the nearest hospital. Go to web site to see if there are PPO Providers in area. PPO directories are available from Trust Office. Non-OOA members must get precertification to use Multiplan or TRPN when traveling.

For retail and mail order programs or to find a local network pharmacy.For special Rx requests, problems, or vacation override on medication, contact the Compliance Office or the Executive Offices of NHAI, Extension 6, than Extension 5.

Please submit all appeals in writing by regular mail, fax or E-mail and allow 10-30 days for processing. For complaints or questions on the plan, contact the Compliance Office. Hotline: (888) 679-2400 Ext.5Fax: (770) 874-1097E Mail: compliance@nhai.net

Forms, PPO directories, general information and COBRA. You must notify Trust within 60 days of any change in family status. Failure to notify us of a change may result in ineligibility for COBRA benefits.